Microincision Cataract Surgery in Pseudoexfoliation Cataracts
Narrative Responses:
Purpose
To study outcome of MICS in Pseudoexfoliation (PXF) cataracts.
Methods
Study included 30 patients with PXF cataracts. All patients underwent MICS with foldable IOL implantation under topical anaesthesia by single surgeon. Intraoperative and post operative complications were analysed.
Results
Majority of patients were in the age group of 60-70 yrs with Grade 3+ sclerosis. Pupillary diameter less than 5 mm was seen in 14 cases. Intraoperatively, 1 case had post capsular rent and 1 case had zonular dialysis and both the case underwent PCIOL implantation. Transient corneal oedema was seen in 4 cases and 1 case had fibrin membrane. Capsular contracture was seen in 2 cases and 1 case had PCO. Visual acuity of 6/6-6/12 was seen in 27 cases.
Conclusion
Cataract surgery in PXF cataracts though challenging due to weak zonules, poor mydriasis and compromised endothelium, good results can be obtained by MICS. Meticulous planning, clear intra operative strategy, proper IOL selection, liberal use of viscoelastic and post op follow up are mandatory